Summerfield of Encinitas

87211(a):Each licensee shall furnish to the licensing agency [...] (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below [...]." This requirement is not met as evidenced by: Based on LPA file review and interview, the licensee did not comply with the section cited above in meeting timelines for reporting requirements, which poses a potential health, safety, and personal rights risk to all persons in care.

Based on LPA observation and interview, the licensee did not comply with the section cited above in ensuring cleaning/disinfecting chemicals were kept locked and inaccessible to residents, which poses an immediate health, safety and personal rights risk to 40 out of 40 persons in care.

87468. 2(a) ... residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (2) To have their records and personal information remain confidential and to approve their release, except as authorized by law. Based on records and interviews, Licensee did not ensure the personal information for Resident 1 (R1) remained confidential. This posed a potential personal rights risk to 1 of 41 persons in care.

A current and complete hospice care plan shall be maintained... include(4) licensee’s responsibility for implementing...,facility staff duties... communication with hospice agency... physician,...responsible person(s). (A) The plan shall specify all procedures to be implemented by the licensee regarding... maintenance and use of medical supplies, equipment...This requirement was not met as evidenced by: Licensee did not ensure a complete hospice care plan was maintained for 1 out of 43 clients. This posed a potential health risk to persons in care.

To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon.This requirement has not been met as evidenced by: Based on LPA observation the licensee did not allow residents to have their visitors...permitted to visit privately during reasonable hours and without prior notice, 1 in 1 of [total numbers] persons in care [R1] which posed a potential Personal Rights risk to persons in care.

Resident Records(c) All information... regarding residents shall be confidential. (1) The licensee shall be responsible for... safeguarding the confidentiality of their contents. The licensee...shall make available...information...upon ...resident's written consent or...representative. Based on staff and outside source and staff interviews and a resident record review the Licensee did not provide resident records requested by an authorized party for 1 out of 37 residents in care. This poses a potential risk to residents in care.ED Myers will provide in-service training to administrative staff regarding the topic of records management, and resident or authorized representatives rights to obtain records in a timely fashion. ED Myers will provide complete proof of completion by POC due date.